Individual provider Active NPI

Carlos Frederico Rodriguez, MD

  • Dermatopathology Physician
  • Tucson, AZ
National Provider Identifier
1518137306
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatopathology PhysicianTaxonomy code 207ND0900X
License
42919 Issued in AZ
Practice address
1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone
(520) 618-1630
Fax
(520) 618-1636
NPI assigned
Mar 7, 2008
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 036119039 IL
Dermatology Physician 207N00000X 42919 AZ
MOHS-Micrographic Surgery Physician 207ND0101X 036119039 IL
MOHS-Micrographic Surgery Physician 207ND0101X 42919 AZ
Dermatopathology Physician 207ND0900X 036119039 IL
Dermatopathology Physician 207ND0900X 42919 AZ Primary
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 42919 AZ
Clinical & Laboratory Dermatological Immunology Physician 207NI0002X 036119039 IL
Pediatric Dermatology Physician 207NP0225X 42919 AZ
Pediatric Dermatology Physician 207NP0225X 036119039 IL
Procedural Dermatology Physician 207NS0135X 42919 AZ
Procedural Dermatology Physician 207NS0135X 036119039 IL
Dermatopathology (Pathology) Physician 207ZD0900X 42919 AZ

Addresses

Primary practice location

1735 E Skyline Dr
Tucson, AZ 85718-1162

Mailing address

1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone (520) 618-1630

Other practice location 1

10211 N Oracle Rd
Oro Valley, AZ 85737-9465
Phone (520) 618-1630

Other identifiers 3

IdentifierTypeStateIssuer
P01291608OtherAZRAILROAD MCR
867831MedicaidAZ
9735166OtherAZAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120320000980 AZ Practitioner - Dermatology 9931286184 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Chicago College of Medicine and Surgery, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Dermatology, PCGroup PAC ID 1153346127, 10 clinicians

Practice addresses (Care Compare)

1735 E Skyline Dr
Tucson, AZ 85718-1162
Phone (520) 618-1630

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision41
Removal of skin lesions38
Removal of skin cancer431
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42919AZMDDermatopathology Physician
036119039ILMDClinical & Laboratory Dermatological Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Dermatology, PC Dermatology CurrentSince May 5, 2014 Accepting new patients
Center for Dermatology, PLLC Past Accepting new patients
Forefront Dermatology, S.C. Dermatology Past Accepting new patients
Clin-Path Pathology PastSince Oct 3, 2016 Accepting new patients

Locations

10211 N Oracle Rd
Tucson, AZ 85737
Phone (520) 618-1630

1735 E Skyline Dr
Tucson, AZ 85718
Phone (520) 548-3884

Interoperability endpoints

  • Direct secure messaging: carlos.rodriguez@forefrontdermatology.emadirect.md
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1518137306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 E SKYLINE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-618-1630",
            "fax_number": "520-618-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 E SKYLINE DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857181162",
            "telephone_number": "520-618-1630",
            "fax_number": "520-618-1636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10211 N Oracle Rd",
            "address_purpose": "LOCATION",
            "city": "Oro Valley",
            "state": "AZ",
            "postal_code": "857379465",
            "country_code": "US",
            "telephone_number": "520-618-1630",
            "fax_number": "520-618-1636",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ",
        "first_name": "CARLOS",
        "middle_name": "FREDERICO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-07",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "036119039",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "AZ",
            "license": "42919",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IL",
            "license": "036119039",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "AZ",
            "license": "42919",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "IL",
            "license": "036119039",
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "AZ",
            "license": "42919",
            "primary": true
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "AZ",
            "license": "42919",
            "primary": false
        },
        {
            "code": "207NI0002X",
            "taxonomy_group": "",
            "desc": "Dermatology, Clinical & Laboratory Dermatological Immunology",
            "state": "IL",
            "license": "036119039",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "AZ",
            "license": "42919",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "IL",
            "license": "036119039",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "AZ",
            "license": "42919",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "IL",
            "license": "036119039",
            "primary": false
        },
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "AZ",
            "license": "42919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01291608",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "867831",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9735166",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.